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The tech helping to smoothen the life of the busy clinician

By Sarah Lake, Psychology Intern, Clinical Neuropsychology Services; Charlotte Giblin, Assistant Psychologist, Clinical Neuropsychology Services and Dr Penny Trayner, Clinical Neuropsychologist, Clinical Neuropsychology Services

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Clinicians often find themselves burdened with extensive administration tasks which detract from time that could be dedicated to client care and often necessitate after-hours work to complete.

By introducing user-friendly comprehensive assessment and goal-setting frameworks, Goal Manager seeks to streamline administrative processes, enabling clinicians to prioritise direct client engagement.

This innovative platform not only addresses the time constraints imposed by administrative duties but also fosters best practices in rehabilitation by facilitating robust goal-setting methodologies.

The result is a more efficient and focused rehabilitation process, allowing clinicians to dedicate their expertise where it matters most – directly contributing to client well-being and progress.

Background

Goal Manager was created in 2018, following its conceptualisation by Dr Penny Trayner.

Having run her own community-based rehabilitation service for children and adolescents with brain injury for 9 years at that point, she identified a need for better administrative management within the field.

The infrastructure around goal setting was generally poor managed, with no central platform to record, track and store all of this data. 

The cloud-based platform was created as a result.

With capabilities to manage clients as an interdisciplinary team (IDT), track important dates as well as complete and access necessary assessment and goal information it provided a solution to the time-consuming problem of rehabilitation administration. 

The platform 

The platform stores information on the demographics of each client, has capabilities for ICF functional assessment and contains a goal-setting framework with progress tracking. 

Demographic client information

The platform allows you to create profiles for each individual client, assigning them to different IDT members.

Important files can be attached to their profile, preventing loss of information by allowing for everything pertaining to that client to be stored in one place.

Important dates can also be inputted onto the platform, such as IDT meetings, preventing loss of time by notifying all members of the important dates so that they are not missed.

ICF Functional Assessment

Goal Manager digitised the WHO ICF (World Health Organization International Classification of Functioning, Disability and Health), attaching it as an option for functional assessment on the platform.

The ICF is a classification of health and health-related domains providing a standard language of definitions and measurement for health and disability.

It is a multi-purpose classification system, applicable to various healthcare disciplines due to its encompassing list of core-sets, covering all major areas of health-related function and disability.

It promotes universality of understanding and a holistic approach to disability, assessing body structures and functions as well as activity and participation and environmental factors.

This allows for a well-rounded approach to rehabilitative care, considering not only the disability but factors influencing the individual such as facilitators and barriers in their environment. 

Goal-setting framework 

Goal Attainment Scaling (GAS) is used by Goal Manager to track goal progress as well as importance to the specific client – something extremely important to client-centred care but which is often missed.

Goals are rated on a scale of -2 to +2 for both importance and difficulty, and an overall GAS score is calculated, which is able to be viewed on a scale and also as a radar diagram. 

Within each goal set, SMART frameworks are used to manage the objectives i.e. the steps being taken toward achieving the goal.

This allows for each objective to be specific, measurable, achievable, relevant and time-bound.

This promotes best practice in goal-setting by allowing for the inclusion of goal-relevant information and prompts individual thought into the content and delivery of rehabilitation packages around goals. 

Progress and reporting 

Goal Manager has an integrated reporting tool allowing for client assessment, goal and progress data to be pulled into meeting and extended reports at ease.

Change in ICF assessment functional problems and facilitators and barriers are mapped onto radar diagrams, and goal progress is reported with reference to the GAS scoring and SMART information.  

Future development 

With use in a range of rehabilitative disciplines, Goal Manager is a commercially available product that actively helps many current users in their goal setting practices.

It is an exciting time for the company as following funding from Innovate UK, upon Dr Penny Trayner’s winning of the prestigious ‘Women in Innovation 2022/23’ award, the Data Dashboard was conceptualised, seeking to use quantitative data to develop a common ground for the understanding and development of rehabilitative practices.

Furthermore, a Patient Portal is set to be developed, promoting active client led care in the field by enhancing clients access and understanding of their own care and preserving their voice in these important discussions.

Learn more about Goal Manager at goalmanager.co.uk

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